Liu Ching-Hsiang, Chen Ching-Huey, Lee Jenq-Chang
Nursing Department, National Cheng Kung University Hospital, Taiwan.
Hepatogastroenterology. 2011 Sep-Oct;58(110-111):1461-5. doi: 10.5754/hge11160. Epub 2011 Jul 15.
BACKGROUND/AIMS: In the recent years, there have been more and more patients with low rectal cancer who have received anal sphincter preserving surgery (ASPS). The defecation function greatly affects patient's postoperative social activity and quality of life. This study aimed to examine the effects of Kegel's exercise on postoperative anal defecation and quality of life of patients following sphincter preserving surgery.
A total of 34 patients received sphincter preserving surgery. 17 patients received instruction for Kegel's exercise postoperatively and 17 patients did not. Defecation function and quality of life were compared between the two groups by FACT-C questionnaire.
The response rate of FACT-C questionnaire was 64.7% (22 in 34 patients). These 22 patients were divided into two groups: exercise group (n=11) and the non-exercise group (n=11). No significant differences were found in the demographic data between the two groups. Although the defecation frequency of the exercise group was better than the non-exercise group, no statistical difference was found. The total scores of the quality of life of the exercise group were significantly higher than those in the non-exercise group (p=0.038).
This preliminary study found that Kegel's exercises may have a positive impact on the quality of life in patients undergoing anal sphincter preserving surgery.
背景/目的：近年来，越来越多的低位直肠癌患者接受了保留肛门括约肌手术（ASPS）。排便功能极大地影响患者术后的社交活动和生活质量。本研究旨在探讨凯格尔运动对保留括约肌手术后患者肛门排便及生活质量的影响。
共有34例患者接受了保留括约肌手术。17例患者术后接受凯格尔运动指导，17例患者未接受。通过FACT-C问卷比较两组患者的排便功能和生活质量。
FACT-C问卷的回复率为64.7%（34例患者中的22例）。这22例患者分为两组：运动组（n = 11）和非运动组（n = 11）。两组患者的人口统计学数据无显著差异。虽然运动组的排便频率优于非运动组，但未发现统计学差异。运动组的生活质量总分显著高于非运动组（p = 0.038）。
这项初步研究发现，凯格尔运动可能对接受保留肛门括约肌手术患者的生活质量产生积极影响。
